Emergency
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Medicare Sepsis Performance Measure Criteria Do Not Improve Outcomes
A longitudinal study of a single health system’s adherence to and outcomes of Medicare Sepsis Performance Measures (SEP-1) did not show an improvement in mortality despite improvements in adherence to guideline-mandated care.
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Attitudes Toward Hyperoxemia and Oxygen Therapy Among Nurses, Respiratory Therapists, and Physicians
Critical care clinicians, such as nurses, respiratory therapists, and physicians, have varying opinions regarding oxygen therapy and hyperoxia. Interdisciplinary education addressing current evidence of oxygen therapy and the potentially harmful effects of oxygen is warranted.
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Burnout in the Critical Care Workforce
The burnout epidemic has plagued the medical profession for decades, with an escalating prevalence most recently fueled by the COVID-19 pandemic.
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Moral Distress When Caring for Patients on Mechanical Circulatory Support
Clinicians pointed to palliative care and ethics consults as ways to mitigate moral distress.
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Pediatric Tuberculosis
Mycobacterium tuberculosis (MTB) is a significant challenge to children's health. Barriers exist at multiple levels of the care system for MTB. Early recognition and involvement of MTB specialists is critical to facilitate the best outcome for pediatric patients. The authors provide a thorough review of the current standards for care of these challenging patients.
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Evaluation and Management of Hypertension in Adults
Hypertension, defined by most major societies as > 140/90 mmHg, is common and the prevalence is increasing.
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Discussions on Patient Care Could Become Discoverable
Evidence indicating the emergency physician conducted peer review diligently and in good faith could help the defense. Still, considering the possibility of discoverability, providers should avoid inaccurate, sarcastic, or unnecessary comments during peer review.
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Patients Offer Insight on ED Providers’ Communication Skills
With better communication, ED patients are more likely to follow recommendations and experience better outcomes.
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Cardiology, Stroke Malpractice Cases Involve ED Providers’ Communication Gaps
Cutting corners with poor communication can lead to devastating patient outcomes.
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Time Spent in ED Hallways Raises Risk of Developing Delirium
Researchers analyzed 25,162 patients, including 1,920 who met delirium criteria. Patients with delirium spent a greater percentage of time in the ED hallway than other patients and stayed in the ED longer. Patients developed delirium in the ED more often than patients on the inpatient units. Out of the 1,920 patients who developed delirium, 1,488 did so while in the ED.